Ayesha Sarwat

Asstt. Prof. of Psychiatry, Dow International Medical College, Karachi

ABSTRACT

Objective: To determine the indications and contraindications of electroconvulsive therapy (ECT) among psychiatrist working in Pakistan. Study Design: Cross-Sectional Study.

Place and Duration of Study: This study was conducted at the Department of Psychology DOW International Medical College, Karachi, from May 2013 to May 2014.

Materials and Methods: A semi structured questionnaire was mailed to Psychiatrist through emails, the questionnaire consisted of questions and the participants were required to choose one out of five responses of each question. It measured the issues that were pertinent to our use of ECT covered aspects of its use in its indications and contraindications and frequency of use. It has been used as second line treatment option in majority of cases. It has been used with success in mood and psychotic disorders. 

Results: The use of ECT was frequent total of 75% patients and majority showed improvement in their clinical condition Its practice must comply with pre anesthetic assessment to prevent any post ECT complications. There is no absolute contraindication but risk factors like raised intracranial pressure. 

Conclusions: ECT is an effective non pharmacologic biological treatment and predominantly for depression, but also for schizophrenia. The practice of ECT is frequent in our country. Key Words:  Electroconvulsive Therapy, Mood Disorders, Schizophrenia

Citation of article: Sarwat A. The Indications of Electroconvulsive Therapy in Pakistan. Med Forum